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Coding Investigator Auditor
HCSC - Tulsa, OK
Job Purpose: This position is responsible for performing clinical, billing, coding and lowest cost setting reviews for services pre and post payment utilizing medical, contractual, legislative, policy, and other information to validate claims submitted and billed; conducting research; preparing documentation of findings and consulting with Medical Direc...
Strategic Product Manager - Financial Products
HCSC - Richardson, TX
Job Purpose: This position is responsible for managing complex Financial Products with a focus on HCSC's Consumer Drive Health Plan (CDHP), and leads the development of product strategy for both current and next generation product solutions in the health insurance space. Responsible for leading and managing the product lifecycle from ideation through market ...
Medical Mgmt Specialist I - Care Coordination
HCSC - Downers Grove, IL
**This is a Work from Home position, with the position located within the Downers Grove, IL area and traveling to members homes** JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, an...
Sr. Cybersecurity Assess Engineer
HCSC - Chicago, IL
Job Purpose: The Sr. Cybersecurity Assessment Engineer position is a senior technical role on the Cybersecurity Red Team at HCSC. This is a telecommuting/remote position. There may be occasional travel to Chicago, IL; Dallas, TX; or other HCSC sites. The position is a lead position that will provide Red Team exercise development and execution, as well as mentorship...
Medical Management Specialist I - Care Coordination
HCSC - Albuquerque, NM
**This is a Work from Home position located in Silver City, NM or Albuquerque, NM** **and will travel to members homes" JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include ga...
Investment Accountant
HCSC - Chicago, IL
BASIC FUNCTION: This position is responsible for investment transaction processing and accounting for all Statutory and GAAP required reporting for Ancillary Benefits. Responsible for maintenance of the investment general ledger and database for all investments. JOB REQUIREMENTS: *Bachelor Degree in Accounting or Fina...
Developer
HCSC - Chicago, IL
As the health care industry continues to rapidly transform, our IT team conceives, develops and delivers impactful technology solutions to support access to quality, affordable health care for our members. We are driven by our collective company purpose: To do everything in our power to stand with our members in sickness and in health®. Our IT team unleashes the pow...
Developer
HCSC - Chicago, IL
As the health care industry continues to rapidly transform, our IT team conceives, develops and delivers impactful technology solutions to support access to quality, affordable health care for our members. We are driven by our collective company purpose: To do everything in our power to stand with our members in sickness and in health®. Our IT team unleashes the pow...
Customer Advocate I
HCSC - Albuquerque, NM
BASIC FUNCTION: Under supervision, this position is responsible for working on the phone all day in a call center to assist members and physicians by responding to telephone and written inquiries in a prompt, accurate and objective manner. Duties include: conducting research; spends approximately 90 of the scheduled time on the phone according to business need. JOB RE...
Coding Investigator Auditor - PIPELINE / WFH / (IL, MT, NM, OK, TX)
HCSC - Tulsa, OK
BASIC FUNCTION: This position is responsible for performing clinical, billing, coding and lowest cost setting reviews for services pre and post payment utilizing medical, contractual, legislative, policy, and other information to validate claims submitted and billed; conducting research; preparing documentation of findings and consulting with Medical Di...
Customer Adv II - Cst Srv
HCSC - Naperville, IL
BASIC FUNCTION: Under supervision this position is responsible for researching, analyzing and responding to telephone, written, membership and claim inquiries in a prompt, accurate and professional manner utilizing retail market systems and procedures. Ability to be flexible and accountable toward meeting deadlines in an environment with frequent change, shifting priorities ...
Coding Investigator Auditor
HCSC - Tulsa, OK
Job Purpose: This position is responsible for performing clinical, billing, coding and lowest cost setting reviews for services pre and post payment utilizing medical, contractual, legislative, policy, and other information to validate claims submitted and billed; conducting research; preparing documentation of findings and consulting with Medical Direc...
SDG Implementation Analyst II
HCSC - Helena, MT
"If chosen to proceed, each candidate will be required to complete a video interview via HireVue" JOB PURPOSE: This position is responsible for implementing new or renewing accounts, new legislation, and products across the enterprise. Works with cross functional HCSC teams/internal stakeholders to coordinat...
Advanced Contract Specialist - EDU
HCSC - Chicago, IL
BASIC FUNCTION: This position within Contract Administrations Employer Document Unit is responsible for collaborating with internal stakeholders to draft and negotiate contract documents that govern the relationship between HCSC and its customers. The Employer Document Unit supports the Group market segment which consists of organizations that offer Blue Cro...
Organizational Effectiveness Manager - Organizational Design
HCSC - Chicago, IL
We are currently seeking an exceptional candidate to fill our Organizational Effectiveness Manager position with a focus on Organizational design. This role is responsible for leading large highly complex business design initiatives, partnering with senior business executives, third party consulting firms and HR Centers of Excellence to ensure successful business ...
